| NPI | 1407601040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0036642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.518741) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-06-27 |