| NPI | 1316622855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 452397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0034169) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2026-04-27 |