| NPI | 1225766546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037496) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 114009) |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2025-04-08 |