| NPI | 1023020591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.07935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.07935) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-01-25 |