| NPI | 1104339837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0041772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.384187) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2026-03-25 |