| NPI | 1861667693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA09728NP) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH NCCWILI04332492) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |