| NPI | 1437771458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 59831) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026550) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026550) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71011128A) | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2023-04-25 |