| NPI | 1366916306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024566) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3015385) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2022-05-05 |