| NPI | 1073757514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH NP 06023) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OH RN 217852) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |