| NPI | 1720531254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 019903) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024257) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1097942) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209030510) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-09-19 |