| NPI | 1417770348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0041016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 391809) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2026-01-05 |