| NPI | 1508024589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1116568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.03910) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 97499) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.03910) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2025-11-20 |