| NPI | 1326855339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0038494) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: OH RN199218) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-04-01 |