| NPI | 1851199269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0039341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.531767) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0039341) | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-09-04 |