| NPI | 1659733244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 273660) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 19021) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.382612) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010220) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-06-14 |