| NPI | 1700613049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 2023062484) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 433520) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-09-14 |