| NPI | 1548686975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011709) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28212793A) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0032678) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2026-06-24 |