| NPI | 1063633998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.05746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.05746) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-12-23 |