| NPI | 1659681237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP-12735) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 6660P) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2023-07-31 |