| NPI | 1679669592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.10089-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN-241991) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 10089) | |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: OH 07791) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-12-27 |