NPI | 1023276243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH 09425) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 328677) |
163W00000X Registered Nurse (Licence: NC 189549) | |
Enumeration Date | 2008-05-23 |
Last Update Date | 2017-12-27 |