| NPI | 1871914937 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15711-NP)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.295171)  | 
| Enumeration Date | 2013-12-16 | 
| Last Update Date | 2024-12-27 |