| NPI | 1609298884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 019954) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: OH 375070) |
| 163WP0200X Registered Nurse Pediatrics (Licence: OH 375070) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: OH 019954) | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2021-12-27 |