NPI | 1760738108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.13555-NP) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.323116-COA1) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2012-08-02 |