| NPI | 1306930268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11002834) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 23799) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033527) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-05-07 |