| NPI | 1043013204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.495836) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-05-09 |