| NPI | 1376776120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10936) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH RN328558) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2017-12-13 |