| NPI | 1912969536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA-08938-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA-08938-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA-08938-NP) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2014-11-18 |