NPI | 1619220951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.13959) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.13959) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA13959) | |
Enumeration Date | 2012-10-24 |
Last Update Date | 2022-02-24 |