| NPI | 1184815813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.09514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 09514) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2026-01-06 |