| NPI | 1215121041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.09603) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.09603) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2022-02-25 |