| NPI | 1659828028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.019831) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.019831) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH 00004298) | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2019-02-13 |