| NPI | 1679921548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.19024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 19024) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021564) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-02-09 |