| NPI | 1124853577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0037454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH RN.428612) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-08-12 |