NPI | 1447760251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.021768) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 021768) |
363LF0000X Nurse Practitioner, Family (Licence: OH 021768) | |
Enumeration Date | 2017-10-06 |
Last Update Date | 2024-12-12 |