| NPI | 1124669056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024683) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A187115) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2025-12-30 |