| NPI | 1174837199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.11741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.308892) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2017-05-09 |