| NPI | 1043410830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA 09845NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.315948) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2023-10-10 |