| NPI | 1043209281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH NP02547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN137212) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2014-09-25 |