| NPI | 1184897704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA09707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN291273) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2022-02-15 |