| NPI | 1730706664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027093) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0027093) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 345985) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2021-04-29 |