| NPI | 1508351552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021675) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH aprn.cnp.021675) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-01-10 |