| NPI | 1861240525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0036398) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-05-28 |