| NPI | 1750033809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP025595) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0038273) |
| 363L00000X Nurse Practitioner (Licence: VA 0024197820) | |
| 363L00000X Nurse Practitioner (Licence: KY 4030395) | |
| 163W00000X Registered Nurse (Licence: PA 692607) | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2026-06-23 |