| NPI | 1801501101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0033097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F01230880) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2025-05-21 |