| NPI | 1841529963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.09098) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209021241) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH RN 3290521) | |
| Enumeration Date | 2009-12-19 |
| Last Update Date | 2020-12-18 |