| NPI | 1467058842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.435866) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2025-09-10 |