| NPI | 1205436342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027859) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015012) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH 0027859) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY 3015012) | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-11-06 |