| NPI | 1609298280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15194-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH COA 15194-NP) |
| 163W00000X Registered Nurse (Licence: OH RN 352603 COA1) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2025-11-04 |