| NPI | 1306686928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.0035515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.432067) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |