| NPI | 1427729755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH aprn.cnp.0029577) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.447.420) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-11-03 |