| NPI | 1992805154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024165950) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4034552) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038573) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2025-02-20 |