| NPI | 1558982595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0038165) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 59749) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-12-18 |