| NPI | 1538717848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0039167) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71010707A) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28230844A) | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2025-07-02 |