| NPI | 1548600950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0030763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28997) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030763) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 18324) | |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2023-08-02 |