| NPI | 1902147812 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.0034574) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2375571) | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5006083) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5006086) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH APRN.CNP.0034574) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5006086) | |
| Enumeration Date | 2013-03-04 | 
| Last Update Date | 2025-07-29 |