| NPI | 1902181258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003738A) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024954) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2022-02-08 |