| NPI | 1295878940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN01329) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP-01329) |
| 163W00000X Registered Nurse (Licence: OH RN-247840) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-10-01 |