| NPI | 1538869789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R193829) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1178967) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4027887) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036121) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189531) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-12-13 |