| NPI | 1952557084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA#NP-01893) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH NCC#ECK1-0427-7390) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |