NPI | 1629175435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH 213628) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 213628) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |