NPI | 1992292395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.19114) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH F0316308) |
Enumeration Date | 2018-04-20 |
Last Update Date | 2018-05-23 |