| NPI | 1487519062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0039974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 31238) |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2025-12-17 |