| NPI | 1346540374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.111594) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH NP-11594) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2021-02-25 |