| NPI | 1164850129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA 14570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 379650) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2014-02-19 |