| NPI | 1144809435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015673) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0028079) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028079) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5015673) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2024-08-07 |