| NPI | 1700052081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COANP00144) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: OH EL1104277472) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |