| NPI | 1356967590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0027667) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 415283) |
| 363L00000X Nurse Practitioner (Licence: OH LE00031251) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-04-25 |