| NPI | 1477690634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06233) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN-167932) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-04-19 |