| NPI | 1821051558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.05317) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP-5317, RN-282368) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-09-19 |