| NPI | 1285239400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028158) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 202011902) |
| 163W00000X Registered Nurse (Licence: OH RN.381254) | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2021-05-11 |