| NPI | 1902686710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0034782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.4182274) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |