| NPI | 1730612755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.022508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.383882) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022508) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-08-07 |