| NPI | 1487447405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP..0039376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.387625) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-07-08 |