| NPI | 1851995179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.024817) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0137449) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2025-09-05 |