| NPI | 1063121010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0033204) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 450752) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-10-13 |