| NPI | 1215667191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 0027723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 417400) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-09-12 |