| NPI | 1144074162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036885) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: OH 519394) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-09-13 |