| NPI | 1639267826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.01048) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP01048) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-01-11 |