NPI | 1760124044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: OH 0031397) |
Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: OH 410257) |
363LN0000X Nurse Practitioner Neonatal (Licence: OH 104031416) | |
Enumeration Date | 2022-04-08 |
Last Update Date | 2022-05-31 |