| NPI | 1730345943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9486425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 10137-NP) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2024-03-25 |