| NPI | 1285469361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP033935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0037507) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2025-10-17 |