| NPI | 1295371110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000027752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 026072) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2026-04-13 |