| NPI | 1982013751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 18964) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037468) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704416945) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189922) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2024-09-09 |