| NPI | 1790356152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029223) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00037156) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2026-03-27 |