| NPI | 1114770757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH APRN.CNP.0037245) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 259153) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-09-11 |