| NPI | 1144390832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 132318) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 03405) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 03405) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |