NPI | 1427171602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.09210) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: OH NP09210) |
363LF0000X Nurse Practitioner, Family (Licence: OH NP09210) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2024-12-12 |