| NPI | 1134921992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0039321) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH APRN.CNP.0039321) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-07-30 |