| NPI | 1912161373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 291434) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9352533) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2019-01-24 |