| NPI | 1114811346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0039634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.443670) |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-07-16 |