| NPI | 1780427682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.515585) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-07-16 |