| NPI | 1932328002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH NP09790) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH NP09790) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-05-17 |