| NPI | 1255289328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 104932585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.542693) |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-09-21 |