| NPI | 1477142990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0028308) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 202010521) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRN.CNP.0028308) | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-02-02 |