| NPI | 1760994644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022111) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH 022111) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2018-01-02 |