| NPI | 1568638856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COANP05625) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH NCCTHO04276886) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |