| NPI | 1720236466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN.331701-COA1) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.10163-NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RX.10163-) | |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2014-03-28 |