| NPI | 1639587702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9477789) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN302372) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2025-08-20 |