| NPI | 1164620159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0029980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010809) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209010809) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2021-11-04 |