| NPI | 1376115642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029451) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH 381920) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-09-14 |