| NPI | 1649553439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9401343) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN.325839-COA1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9401343) | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2021-12-16 |