| NPI | 1851039671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 3952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015735) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0032983) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1054400) | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2025-12-16 |