| NPI | 1154301729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 01169NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN196119) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2014-01-24 |