NPI | 1528709409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0031581) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.415589) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-08-30 |