NPI | 1437794815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.026495) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: OH RN.395900) |
Enumeration Date | 2019-11-09 |
Last Update Date | 2025-07-19 |