| NPI | 1053788752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL APRN11006919) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.17926) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRN.CNP.17926) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2022-01-18 |