| NPI | 1033883228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029428) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH APRN.CNP.0029428) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-07-28 |