| NPI | 1134323785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH RN 191096 NP00812) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OH COA.00812-NP) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-02-15 |