NPI | 1801177977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12601-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.12601) |
Enumeration Date | 2011-09-02 |
Last Update Date | 2022-03-08 |