| NPI | 1063993962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.023556) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.023556) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRNCNP.023556) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2024-03-06 |