| NPI | 1942831060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0041621) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 228331) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196401) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4053952) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 908405) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2026-05-29 |