| NPI | 1164776860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13613) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170459) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2025-09-08 |