| NPI | 1548296692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH NP-09336) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: OH NP 09336) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2013-09-09 |