| NPI | 1568920577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0031046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.456302) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2024-04-25 |