NPI | 1851085450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.0033975) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0033975) |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-09-26 |