| NPI | 1649986936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 245499) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-12-30 |