| NPI | 1134988934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0036992) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 518723) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-11-07 |