| NPI | 1366373201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0042471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 2026021348) |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-07-14 |