| NPI | 1710660121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0038751) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN359031) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2025-07-30 |