| NPI | 1649657222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 18635NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1106120) |
| 163W00000X Registered Nurse (Licence: IN 28219340A) | |
| 163W00000X Registered Nurse (Licence: OH 282576) | |
| 163W00000X Registered Nurse (Licence: MI 4704228417) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005621A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005621B) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009730) | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2016-06-24 |