| NPI | 1023742590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027818) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH APRN.CNP.0030211) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-11-04 |