| NPI | 1467543801 |
|---|---|
| Former Name | LYNN MARIE MUDRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: OH RN.203233-COA1) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |