NPI | 1033273776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.15702) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704223719) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704223719) | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2021-11-11 |