| NPI | 1477720431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP06259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN225344) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH ALI104279347) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2011-12-02 |