| 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 |