| NPI | 1750587309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28149810A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP.10034) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-10-13 |