| NPI | 1023276243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH 09425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 328677) |
| 163W00000X Registered Nurse (Licence: NC 189549) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2017-12-27 |