| NPI | 1043410426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH APRN.CNP.076100) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH RN266541) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2024-05-10 |