| NPI | 1952795122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9485662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9485662) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 17171NP) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2019-03-29 |