| NPI | 1043012107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0041032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.464291) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2026-01-26 |