NPI | 1063634129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.03607-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.3607-NP) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2015-03-05 |