| NPI | 1982280913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 331648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 255327) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3016044) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0028640) | |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2022-07-25 |