| NPI | 1437828969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 237016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0032069) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015056) | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2025-03-20 |