| NPI | 1871366369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0038723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 478863) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-02-20 |