| NPI | 1194333740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH APRN.CNP.0027199) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024179762) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-09-15 |