| NPI | 1154707883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17583-NP) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2026-02-06 |