NPI | 1144790833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0028443) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704318267) |
Enumeration Date | 2018-11-26 |
Last Update Date | 2024-02-02 |