| NPI | 1124017983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH NP02524) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH RN143544) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2012-07-30 |