| NPI | 1346967536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0039374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN501700) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2025-07-26 |