| NPI | 1184999179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.14081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 376684) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN376684) | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2022-02-08 |