| NPI | 1063530475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.07538) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.07538-NP) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-01-11 |