NPI | 1558342642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP01320) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN126949) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2016-02-04 |