NPI | 1407288095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.14946-NP) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.334360) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2013-08-06 |