NPI | 1316256944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.11875) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.11875-NP) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2017-01-25 |