NPI | 1437435971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 0031795) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH RN.301723) |
Enumeration Date | 2011-10-28 |
Last Update Date | 2022-07-19 |