| NPI | 1902691199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH 0039802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 390417) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-07-29 |