| NPI | 1174218283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 00035988) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: IN 28241297A) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-04-15 |