| NPI | 1750782306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 804551) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17284-NP) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2023-09-13 |