| NPI | 1083881056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP09664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN312299) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH MIR104332774) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |