| NPI | 1285064311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.15284-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.327716-COA1) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2015-07-13 |