| NPI | 1104752120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0042484) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.493136) |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |