| NPI | 1861230872 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.0037076)  | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH rn.378184)  | 
| Enumeration Date | 2024-07-16 | 
| Last Update Date | 2025-10-24 |