| NPI | 1700526100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R256566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.485618) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R256566) | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2023-09-22 |