| NPI | 1912488057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.022054) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 022054) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2022-03-10 |