| NPI | 1225185374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11012278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 14809) |
| 207Q00000X Family Medicine (Licence: FL APRN11012278) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 231265) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9258142) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-01-11 |