| NPI | 1871961060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 17542-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.399401-1) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |