| NPI | 1255773537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 14705NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN342287) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2017-03-15 |