| NPI | 1619854700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039404) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 28266445A) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-09-10 |