| NPI | 1619304086 |
|---|---|
| Former Name | MICHELLE PENNINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14779) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH APRN.CNP.14779) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.14779-NP) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-01-22 |