| NPI | 1114605987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11025216) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0034150) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 2022064127) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-01-14 |