NPI | 1437869864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0032719) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032719) |
Enumeration Date | 2022-11-28 |
Last Update Date | 2023-08-07 |