| NPI | 1669955910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.022527) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 1669955910) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2024-09-05 |