| NPI | 1093269912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.019618) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019618) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2018-04-13 |