| NPI | 1104445469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: OH APRN.CNP.0027077) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: OH RN.475108) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-09-01 |