| NPI | 1215502315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016135) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-02-21 |