| NPI | 1144200056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN305998 NP08460) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209013607) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2016-06-29 |