| NPI | 1831376532 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA.13880-NP)  | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH COA.13880-np)  | 
| Enumeration Date | 2008-01-24 | 
| Last Update Date | 2023-05-04 |