| NPI | 1740208974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.04039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.04039) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-02-23 |