| NPI | 1073488656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH APRN.CNP.0040302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0040302) |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2026-07-06 |