| NPI | 1245032093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039757) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 531795) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-10-12 |