| NPI | 1538302070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1198422) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH COA13571NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA-13571) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2025-06-11 |