NPI | 1104278159 |
---|---|
Former Name | POOJA B. PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0195099) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019599) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2022-02-25 |