| NPI | 1851087613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0034337) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 504846) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034337) | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2024-01-10 |