| NPI | 1982187761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023663) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.023663) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2023-03-02 |