| NPI | 1912189150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.09706) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH RN-286401) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2017-10-16 |