| NPI | 1487504528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0042473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.501260) |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-07-27 |