NPI | 1750830824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F09161047) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH F09161047) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2019-01-04 |