| NPI | 1699022491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11028495) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA.13618-NP) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2024-02-09 |