| NPI | 1922332691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.10821-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.10821) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RX.10821-EX1) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.10821) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2022-03-17 |