NPI | 1144665761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14449-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.14449-NP) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2023-06-02 |