| NPI | 1578817193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13899) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA-13899 NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.13899) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2018-11-14 |