| NPI | 1982174587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1213345) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH Arnp.cnp.023969) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2025-10-20 |