| NPI | 1871382887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0039700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2389230) |
| 163W00000X Registered Nurse (Licence: OH RN.528316) | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-07-22 |