| NPI | 1205246329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.15830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15830-NP) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-03-11 |