NPI | 1629624242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.024870) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024870) |
Enumeration Date | 2019-08-11 |
Last Update Date | 2023-08-04 |