NPI | 1043932304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0032319) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN.448829) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH APRN.CNP.0032319) | |
Enumeration Date | 2022-09-14 |
Last Update Date | 2024-01-26 |