| NPI | 1346646874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 5010713) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.16481-NP) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2018-10-25 |