| NPI | 1902593163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0034469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 429380) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-09-27 |