| NPI | 1750663993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0031824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4042694) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 907343) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 116184) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 17288-33) | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2025-08-26 |