| NPI | 1073780045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH 01255) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN apn0000015454) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2022-03-28 |