| NPI | 1457923963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0030143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 92838) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP024604) | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-06-15 |