NPI | 1053831099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.021013) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH RN.393586) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2023-02-14 |