NPI | 1730377326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH NP-09601) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN274268) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2007-10-09 |