| NPI | 1720640089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH .025045) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH .025045) |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2021-02-23 |