NPI | 1588448039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0031278) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 0031278) |
Enumeration Date | 2023-08-23 |
Last Update Date | 2023-08-23 |