| NPI | 1558799544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH 15292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.15292) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2025-08-20 |