| NPI | 1497299945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030982) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95005570) | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2025-10-02 |