| NPI | 1538644935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1227435) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4026858) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002731) | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2026-03-17 |