| NPI | 1467873679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.15475) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH COA.15475-NP) |
| 163WP0200X Registered Nurse Pediatrics (Licence: OH RN.318405-OH) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2024-06-03 |