| NPI | 1487058913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.023130) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP 9258705) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2018-08-01 |