NPI | 1528024841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.07446) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA07446NP) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH NP07446) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2018-09-07 |