| NPI | 1609692896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F06251795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.478165) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-07-28 |