| NPI | 1326405275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.18475-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704292993) |
| Enumeration Date | 2016-01-23 |
| Last Update Date | 2022-09-29 |