| NPI | 1972372951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.00356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH Aprn.cnp.0035663) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2025-03-07 |