| NPI | 1851774012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0027385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.473080) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2021-01-04 |