| NPI | 1700103918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.11092) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH 11092-NP) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2020-03-19 |