| NPI | 1629723812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH arpn.cnp.0028165) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0028165) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2026-05-13 |