| NPI | 1700502697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024184813) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.0032664) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APP-000629861) | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2025-07-09 |