| NPI | 1568853364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16372) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.16372) |
| 363L00000X Nurse Practitioner (Licence: OH COA.16372-NP) | |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2022-06-28 |