| NPI | 1538354436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH 09553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 09553) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2012-12-20 |