| NPI | 1144779927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9458087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9458087) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN322649) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2024-08-02 |