| NPI | 1730823311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0041580) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2026-05-06 |