| NPI | 1306719570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH OO37410) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: OH 0037410) |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2026-05-07 |