| NPI | 1093232449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021075) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.326828) |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2025-05-23 |