| NPI | 1720568926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023174) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH APRN.CNP.023174o) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-10-18 |