| NPI | 1215330584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9459828) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 16510-NP) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2025-03-14 |