| NPI | 1548702806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021587) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0033654) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1099815) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 34382) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2024-05-14 |