| NPI | 1124098355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP00935) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN169260) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2008-03-25 |