| NPI | 1124479373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.COA.019300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11005615) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-03-23 |