| NPI | 1295144962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16356) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA.16356-NP) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2018-01-22 |