| NPI | 1962917054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023958) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 415511) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-12-04 |