| NPI | 1356652846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: OH COA.12032-NP) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: OH RN.312054) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2011-02-25 |