| NPI | 1619368594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.03100) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA.03100-NP) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-01-11 |