| NPI | 1467495143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.02698) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN.23826COA1) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-09-26 |