NPI | 1316379480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14901) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.14901-NP) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2019-01-31 |