| NPI | 1245353416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 10115460-4405) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP-07962) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-06-21 |