| NPI | 1619958436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP01325) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP 01325) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP 01325) | |
| 367A00000X Advanced Practice Midwife (Licence: IN 72000082A) | |
| 367A00000X Advanced Practice Midwife (Licence: OH NM 06641) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2021-11-11 |