| NPI | 1679981500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.344907-COA1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.10252-NP) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2023-05-23 |