NPI | 1902894439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA03896) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN169332NP03896) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2016-02-04 |