NPI | 1316252547 |
---|---|
Former Name | ELIZABETH A. TADIJANAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 11133-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.11133-NP) |
Enumeration Date | 2010-08-12 |
Last Update Date | 2020-03-19 |