NPI | 1285050872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA 15467 NP) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA 15467 NP) |
Enumeration Date | 2014-03-07 |
Last Update Date | 2022-02-04 |