| NPI | 1295443364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035665) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R253001) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-10-22 |