| NPI | 1609043611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP07609) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN297943) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH MAT104326406) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |