| NPI | 1649590357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.11404) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: OH COA.11404-NP) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-07-24 |