| NPI | 1770735110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.01174) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 218201) |
| 164W00000X Licensed Practical Nurse (Licence: OH NP01174) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2023-03-01 |