| NPI | 1962810200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026680) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176116) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN257369) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 18976) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-02-03 |