| NPI | 1508275520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.16071) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 228405) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024196904) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4054925) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2026-05-19 |