| NPI | 1487298279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 32055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 025902) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2026-06-15 |