| NPI | 1245873454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024655) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021002) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2026-01-09 |