| NPI | 1760022743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0032213) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024178485) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2023-10-11 |