| NPI | 1013326131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012159) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022428) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28217416A) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2018-08-08 |