NPI | 1043410426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.076100) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH APRN.CNP.076100) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH RN266541) | |
Enumeration Date | 2007-07-23 |
Last Update Date | 2024-10-11 |