| NPI | 1154874261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: OH APRN.CNP.03867) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: OH RN 185053) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |