| NPI | 1366772782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F0616274) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2025-08-05 |