| NPI | 1396000147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11000966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13454-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.311775-COA1) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2019-09-26 |