| NPI | 1124544614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021780) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN371756) |
| 363L00000X Nurse Practitioner (Licence: MI 4704338409) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2026-01-06 |