| NPI | 1851120984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0037090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037090) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH RN.417533) | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-01-28 |