| NPI | 1740745702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010256A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013406) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024697) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140249) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2024-06-17 |