| NPI | 1902778988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0040351) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH APRN.CNP.0040351) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |