| NPI | 1952390718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.00978) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.00978) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2022-02-22 |