| NPI | 1801104773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.11536) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11536-NP) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2025-04-24 |