| NPI | 1194116087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH .03358-np) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH 61181-coa-1) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-05-28 |