| NPI | 1942452610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA.02732-NP) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH np-02732) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2015-10-14 |