| NPI | 1447886114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0030730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 457918) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2022-12-12 |