| NPI | 1366840548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.16893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA.16893-NP) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2025-03-19 |