NPI | 1780133520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0030904) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2333289) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2333289) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN02421) | |
Enumeration Date | 2016-09-21 |
Last Update Date | 2023-06-15 |