| NPI | 1184271777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2312141) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 025334) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025334) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2026-06-29 |