| NPI | 1710871983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 123881) |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-10-29 |