| NPI | 1649735473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024168) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 024168) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2026-01-08 |