NPI | 1548600950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0030763) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28997) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030763) | |
363LF0000X Nurse Practitioner, Family (Licence: SC 18324) | |
Enumeration Date | 2013-06-29 |
Last Update Date | 2023-08-02 |