| NPI | 1821976663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0040186) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH AG07250008) |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-09-02 |