| NPI | 1558110791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1175820) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.447582) | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-09-18 |