| NPI | 1790674810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0039672) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11040605) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |