| NPI | 1871037150 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020288) | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH RN.371764) | 
| Enumeration Date | 2016-12-06 | 
| Last Update Date | 2024-02-08 |