| NPI | 1487453981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0035757) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-20 |