NPI | 1881870632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 08928) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA08928) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2024-12-17 |