| NPI | 1720699986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 0027209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH RN.417348) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2025-10-27 |