| NPI | 1609884162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA01020NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN209187) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-06-25 |