| NPI | 1821640483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015116) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 22918) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0031020) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024185671) | |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2022-12-12 |