| NPI | 1669856605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17676) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.17676) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.17676-NP) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2022-03-28 |