NPI | 1295473858 |
---|---|
Former Name | BETH HOTLOSZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0027852) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WV 107185) |
Enumeration Date | 2022-05-24 |
Last Update Date | 2022-05-24 |