| NPI | 1316692171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP0039330) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025376) |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2025-07-28 |