| NPI | 1760814081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013267) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013812) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28255373A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026313) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 123636) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2025-10-16 |