NPI | 1306686928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.0035515) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.432067) |
Enumeration Date | 2024-05-30 |
Last Update Date | 2024-05-30 |