| NPI | 1508459843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 315485) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 37028) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4028192) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037012) | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2025-05-28 |