| NPI | 1184895567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.09629) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.09629-NP) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.09629) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2025-06-30 |