| NPI | 1356894737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20283) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9427446) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2020-05-15 |