| NPI | 1689284911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0038946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 226575) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2025-10-30 |