| NPI | 1649851734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-185641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-185641) |
| 163W00000X Registered Nurse (Licence: OH RN.423570) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-01-09 |