| NPI | 1285104422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP139766) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 229132) | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2024-05-14 |