| NPI | 1306335187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0038875) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201803382NP-PP) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-06-12 |