NPI | 1356054498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0033229) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 439997) |
Enumeration Date | 2023-01-04 |
Last Update Date | 2023-10-15 |