| NPI | 1356303135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: OH NP04016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN162088) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-02-06 |