| NPI | 1386813327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036631) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN277104) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2025-06-06 |