| NPI | 1528353851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5013743) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021679) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3006950) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-09-05 |