| NPI | 1073030391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021577) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.021577) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-02-25 |