| NPI | 1083054449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP030084) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH COA.14678-NP) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2024-07-25 |