| NPI | 1497082903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 10865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1215722) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP034209) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006613) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704433967) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2025-10-23 |