| NPI | 1881043883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.265073) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.19072) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2026-01-23 |