| NPI | 1114401379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023542) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN207049) | |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2024-05-10 |