| NPI | 1700502697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: OH APRN.CNP.0032664) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: OH APP-000629861) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2023-01-11 |