| 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: LA 237564) |
| 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: OH COA.17974-NP) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-10-14 |