| NPI | 1043857972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RM336486) |
| 163W00000X Registered Nurse (Licence: OH RN.336486) | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2025-10-27 |