| NPI | 1023215126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP-01697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN220730) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-07-21 |