| NPI | 1174071971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 9387550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9387550) |
| 363L00000X Nurse Practitioner (Licence: TX 1154896) | |
| 363L00000X Nurse Practitioner (Licence: OH 0036673) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2024-06-14 |