| NPI | 1902131642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.11902) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA APRN.CNP.11902) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.11902) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2026-05-18 |