| NPI | 1396187068 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.14917)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14917)  | 
| Enumeration Date | 2013-07-23 | 
| Last Update Date | 2025-03-31 |