| NPI | 1588913958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH RN.333859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13643-NP) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2021-06-11 |