| NPI | 1871290585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0038141) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 287680) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-02-18 |