| NPI | 1730280637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 01599) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN185225) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-11-15 |