| NPI | 1376994350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.019519) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019519) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019519) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2025-12-17 |