| NPI | 1558344242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9490972) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-241877) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2021-07-16 |