| NPI | 1114164332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA07617) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN308941-COA1) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH NCCMOGI-0427-7877) | |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |