| NPI | 1578974242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013153A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008649) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16887) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 96649) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-10-17 |