| NPI | 1023993623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0040032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 489659) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-09-02 |