| NPI | 1912650235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209036079) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29620) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0042423) | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2026-07-28 |