| NPI | 1033273776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.15702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704223719) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704223719) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-11-11 |