| NPI | 1528603693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP0031162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9331392) |
| 163W00000X Registered Nurse (Licence: OH RN9331392) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11005034) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP0031162) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11005034) | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2023-02-15 |