| NPI | 1417371543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11028828) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA15548) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP15548) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-01-19 |