NPI | 1215924956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.03893) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH RN190931 NP3893) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2022-02-24 |