| NPI | 1578500633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH CNP05089) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3424P) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-01-25 |