| NPI | 1801299045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026642) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007782b) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2363364) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016623) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2025-08-07 |