| NPI | 1992013700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.07920-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH Coa.07920) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-10-11 |