| NPI | 1972235034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002921) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2026-04-03 |