| NPI | 1699381459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0030595) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP022917) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 202010841) | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2022-10-07 |