| NPI | 1114707890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH APRN.CNP.0034995) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4010045) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-06 |