| NPI | 1982724316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP06889) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN136173) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2016-09-09 |