| NPI | 1831986462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH aprn.cnp.0038962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn.385651) |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |