| NPI | 1396178349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 15033) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: OH COA.15033-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 15033) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH COA.15033) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2022-02-24 |