| NPI | 1265871461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039976) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2352462) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2025-08-11 |