| NPI | 1881061042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.17910) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17910) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2025-06-10 |