| NPI | 1457628661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.09373) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA09873NP) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2017-01-20 |