| NPI | 1780133520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0030904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2333289) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2333289) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN02421) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-06-15 |