NPI | 1881139285 |
---|---|
Former Name | JESSICA ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.020067) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRN.CNP.020067) |
Enumeration Date | 2016-12-21 |
Last Update Date | 2017-01-04 |