| NPI | 1497004253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA13810-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-206313) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195135) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN3857) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2025-10-31 |