| NPI | 1407207848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH CNP-019465) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN.368116) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-09-07 |