| NPI | 1225476641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022720) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 2263536) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: PA 618437) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: DE l1-0039891) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MS 893959) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2018-08-17 |