| NPI | 1659657476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.12760) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.12760) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2019-05-02 |