| NPI | 1104177682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.12879) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9399052) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRNCNP12879) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2020-01-21 |