| NPI | 1104155571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11026320) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 10889) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2023-09-26 |