| NPI | 1487078127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.15110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.379959-COA1) |
| 363L00000X Nurse Practitioner (Licence: OH 15110-NP) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2022-03-08 |