| NPI | 1306986880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06542) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP06542) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-10-29 |