| NPI | 1528780335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0039547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039547) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 32382) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-11-19 |