| NPI | 1003153644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA. 14271-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN361222) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2025-06-03 |