| NPI | 1215697776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0030300) |
| Enumeration Date | 2021-12-26 |
| Last Update Date | 2026-02-04 |