NPI | 1912471954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.023789) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023789) |
Enumeration Date | 2019-01-13 |
Last Update Date | 2022-02-04 |