| NPI | 1841540044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH CNP026137) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 250525) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382813) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-11-01 |