| NPI | 1609508506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.0031339) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.0031339) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-04-24 |