| NPI | 1518614775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030671) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030671) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP0030671) | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2025-05-14 |