NPI | 1780320739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0031459) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.399217) |
Enumeration Date | 2022-05-11 |
Last Update Date | 2023-11-03 |