| NPI | 1902319254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3011877) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024375) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KY 3011877) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2022-04-21 |