| NPI | 1609662055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0040232) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.466614) |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-11-13 |