| NPI | 1003210329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA.14154-NP) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3007799) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2017-02-22 |