| NPI | 1659005502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028689) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038876) |
| 163W00000X Registered Nurse (Licence: OH RN.403618) | |
| 163W00000X Registered Nurse (Licence: IN 28296393A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 334952) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2026-04-09 |