| NPI | 1356342984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9477015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.08269) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.08269-NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.08269-NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9477015) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2022-10-06 |