| NPI | 1891064747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRN.CNP.12992) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.12992) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12992-NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.12992-NP) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2020-01-23 |