| NPI | 1710330956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRNCNP019581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.259787) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2022-03-11 |