| NPI | 1841913811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0034845) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 28260659A) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-09-08 |