| NPI | 1740931153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025229) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-05-27 |