| NPI | 1114064128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.020627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010426) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: PA sp001256j) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-05-03 |