| NPI | 1043927767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.467902) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-05-13 |