| NPI | 1376166298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 026475) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 33363) |
| 363L00000X Nurse Practitioner (Licence: NC 5017624) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11021263) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-05-14 |