| NPI | 1770220741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031183) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH APRN.CNP.0031183) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-23 |