NPI | 1154708766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17994-NP) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 207Q00000X) |
Enumeration Date | 2015-05-04 |
Last Update Date | 2017-02-15 |