NPI | 1881024537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 185475) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 02259) |
Enumeration Date | 2013-11-16 |
Last Update Date | 2013-11-16 |