| NPI | 1265914980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035792) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2025-04-01 |