| NPI | 1568876415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.020856) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.383691) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020856) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2023-11-06 |