NPI | 1144496985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA05642NP) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH RN212344) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2021-01-28 |