| NPI | 1477718021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP02481) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH NEEI04276874) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |