| NPI | 1043744535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0027769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN406803) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027769) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-08-07 |