| NPI | 1336993351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0041396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.519350) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1189749) | |
| 163W00000X Registered Nurse (Licence: TX 1189749) | |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2026-06-15 |