| NPI | 1750341798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH 08215-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN228416 NP08215) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-07-09 |