| NPI | 1679860159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: OH APRN.CNP.12547) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: OH 316344) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2024-01-19 |