| NPI | 1740177369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039541) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.510516) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-07-18 |