| NPI | 1215623483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034599) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OH RN.471735) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-09-15 |