NPI | 1326036435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN213892 NP07525) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: OH NP07525) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2022-02-09 |