| NPI | 1073770327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 227110) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.02554) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2019-08-29 |