NPI | 1316121841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.10378) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN-188382) |
Enumeration Date | 2007-12-19 |
Last Update Date | 2022-02-14 |