| NPI | 1720488091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0040242) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 156494) |
| 163W00000X Registered Nurse (Licence: OH 422797) | |
| Enumeration Date | 2014-08-24 |
| Last Update Date | 2026-01-12 |