| NPI | 1124474499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.18928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11032425) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-09-24 |