| NPI | 1851982334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R50494) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035777) | |
| 363L00000X Nurse Practitioner (Licence: NY 353710) | |
| 363L00000X Nurse Practitioner (Licence: IN 71016316A) | |
| 207Q00000X Family Medicine (Licence: TX 1028676) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2025-09-16 |