| NPI | 1194101972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17893) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001131) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2019-11-27 |