| NPI | 1386632818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.05692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN238217 NP05692) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA 05692) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.05692) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2023-02-01 |