| NPI | 1619997244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.09028) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 34901) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP 09028) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-19 |