| NPI | 1508375189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9487876) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNOP.021776) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-04-03 |