| NPI | 1609649219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038648) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.491478) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-12-02 |