| NPI | 1093075624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71004687A) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH COA.13247-NP) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-05-05 |