| NPI | 1700540648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0030095) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 439027) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0030095) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2022-01-10 |