| NPI | 1104251537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH MAS1-0434-6533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN334043) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2020-11-16 |