| NPI | 1730536855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9430091) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.17974-NP) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2018-01-31 |