NPI | 1922474550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.17579-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.17579-NP) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |