| NPI | 1124487574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH COA.18569-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F1115106) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |