| NPI | 1528429602 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18242)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 18242)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18242)  | |
| Enumeration Date | 2016-03-16 | 
| Last Update Date | 2025-10-03 |