| NPI | 1730981580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.490487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.004057) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-11-11 |