| NPI | 1457759557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 326448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.16848-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009105) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029587) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16848-NP) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2025-08-14 |