| NPI | 1306585575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0031435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.371037) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH LE-00041660) | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |