| NPI | 1265417364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.07311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-268844) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2025-07-01 |