| NPI | 1134667199 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500226275)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.360194)  | 
| Enumeration Date | 2017-02-09 | 
| Last Update Date | 2025-07-16 |