| NPI | 1376038919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.022536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.438032) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022536) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2021-07-23 |