| NPI | 1831416866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.07671) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP-07671) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH NP-07671) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2018-02-09 |