| NPI | 1003081910 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COANP04801)  | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH NCCCYPI04277208)  | 
| Enumeration Date | 2008-04-23 | 
| Last Update Date | 2025-04-24 |