| NPI | 1568646149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5004149) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.01134) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9231057) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2022-07-21 |