| NPI | 1235306200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP01637) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH BRO104279842) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |