NPI | 1568920577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0031046) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.456302) |
Enumeration Date | 2019-03-08 |
Last Update Date | 2024-04-25 |