| NPI | 1710234828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.13628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.369036-COA1) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2020-06-23 |