| NPI | 1073058442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN.389965) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH 019570) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2018-04-24 |