| NPI | 1033812649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN334002) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.0037836) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2025-01-30 |