| NPI | 1902317191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC007369) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 4704402982) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 221845) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008052) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 34481) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209026228) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001800) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29785A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190829) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2025-10-09 |