| NPI | 1306390075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 019521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173721) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2026-03-01 |