| NPI | 1003669672 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.0036929)  | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OH RN.419933)  | 
| Enumeration Date | 2024-04-11 | 
| Last Update Date | 2024-07-07 |