| NPI | 1235515180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.17607-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11044914) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP003116) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2026-03-05 |