| NPI | 1649345778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.09006) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.09006) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-01-08 |