| NPI | 1649352030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.07471) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.07471) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-06-08 |