| NPI | 1154891646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.023787) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2025-05-09 |