| NPI | 1639577604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.16522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16522) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 16522-NP) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2021-03-18 |