NPI | 1043210990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH RN200521) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH NP01913) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2019-08-12 |