| NPI | 1154708766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17994-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 207Q00000X) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2017-02-15 |