| NPI | 1518568260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039288) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.391186) |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2025-11-23 |