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 |