| NPI | 1396062998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH NP11434) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN312367) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2021-12-27 |