| NPI | 1518591668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH apron.cnp.026144) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2025-07-28 |