| NPI | 1467675843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.128821-COA1) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.01644-NP) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |