| NPI | 1750965570 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP200004036) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027397) | 
| Enumeration Date | 2021-05-07 | 
| Last Update Date | 2025-03-17 |