| NPI | 1821524190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18748) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: OH RN 320070) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-06-19 |