| NPI | 1649748310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024119) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 313177) |
| 208000000X Pediatrics (Licence: OH ARRN.CNP.024119) | |
| 208000000X Pediatrics (Licence: OH APRN.CNP.024119) | |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2024-10-12 |