NPI | 1467448266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN118996) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP02067) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2012-07-10 |