NPI | 1114259256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA02734NP) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA02734NP) |
Enumeration Date | 2010-01-29 |
Last Update Date | 2016-04-13 |