| NPI | 1639636913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025110) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.025110) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-08-07 |