| NPI | 1982379012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11014277) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0039578) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-09-17 |