| NPI | 1760629109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA.10175-NP) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 222688) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2022-04-26 |