| NPI | 1801023676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10760) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH COA.10760-NP) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2020-09-04 |