| NPI | 1194070698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.13451) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.13451-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.13451-NP) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2022-02-15 |