| NPI | 1700518792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH RN.408211) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0031646) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-04-24 |