| NPI | 1508588518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0039333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135625) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2026-07-21 |