| NPI | 1144007758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034957) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH APRN.CNP.0034957) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2025-08-27 |