| NPI | 1750951083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5015739) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029156) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-06-03 |