| NPI | 1568698157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA10825-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH OH RN336447) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2012-05-24 |