NPI | 1689073363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.16336-NP) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NY 382697) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2023-06-29 |