| NPI | 1689987703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1215109) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.11577-NP) |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2025-10-24 |