| NPI | 1669369815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0039507) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRNCNP0039507) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH APRNCNP0039507) | |
| 207Q00000X Family Medicine (Licence: OH APRNCNP0039507) | |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2026-01-13 |