| NPI | 1457788820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15099) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP-15099) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15099-NP) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2025-10-27 |