| NPI | 1154676393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN.342665) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH rn.342665) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2021-12-27 |