| NPI | 1881965259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.13018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.285756-COA1) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2023-10-13 |