| NPI | 1720482268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA.15716-NP) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH RN.291596-COA1) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2017-02-21 |