| NPI | 1780454074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11043266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.003644) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2026-02-27 |