| NPI | 1407889496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.03993-NP) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OH COA.03990-NS) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |