| NPI | 1053569624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP10193) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OH 20081589) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2018-01-23 |