| NPI | 1770862765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.12524) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11034092) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95031800) | |
| 363L00000X Nurse Practitioner (Licence: NY 311874) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2025-11-26 |