| NPI | 1881949915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.13493) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.13493-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13493) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2022-03-09 |