| NPI | 1154725844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.16162) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.16162-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.16162-NP) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2022-02-15 |