| NPI | 1821558834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024410) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041709) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-08-15 |