| NPI | 1639508591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.14924-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.326779) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2018-03-22 |