| NPI | 1972520781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP-019941) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OH 3152-NS) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-12-07 |