| NPI | 1083707350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN-180979) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OH RN-180979) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2021-04-09 |