| NPI | 1578087482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011628) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1033525) |
| 363L00000X Nurse Practitioner (Licence: TN 33648) | |
| 363L00000X Nurse Practitioner (Licence: LA 218465) | |
| 363L00000X Nurse Practitioner (Licence: RI APRN02726) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020151) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020151) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011628) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2026-01-07 |