| NPI | 1679502181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH NP4502) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH RN.232279-COA1) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-07-22 |