| NPI | 1134833478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021397) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH AG01230052) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2025-02-14 |