NPI | 1992437925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0029379) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029379) |
163W00000X Registered Nurse (Licence: OH RN.420960) | |
Enumeration Date | 2022-06-28 |
Last Update Date | 2023-11-29 |