| NPI | 1437951282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0039579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 527203) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-10-09 |