| NPI | 1003212952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3007422) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.12405-NP) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2018-09-13 |