| NPI | 1386895167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13330) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 652909) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60164886) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.13330-NP) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2019-07-03 |