| NPI | 1750611810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.11230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.11230-NP) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2017-01-17 |