| NPI | 1023702313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0033565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP027507) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-04-23 |