| NPI | 1629362199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0038371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28196047A) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9244530) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3006942) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2025-01-09 |