NPI | 1508024589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.03910) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1116568) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 97499) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.03910) | |
Enumeration Date | 2008-05-27 |
Last Update Date | 2024-12-12 |