| NPI | 1407448640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0041527) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013681) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-85290-062) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN05061) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2026-03-18 |