| NPI | 1407288095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.14946-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.334360) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |