| NPI | 1679001762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000370) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 020847) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-01-11 |