| NPI | 1003488461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0029290) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN.400176) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-08-20 |