| NPI | 1972256618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 202222387) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 442304) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-04-12 |