| NPI | 1639475866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA12084-NP) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA12084-NP) |
| Enumeration Date | 2011-02-06 |
| Last Update Date | 2022-10-06 |