| NPI | 1295976090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.10488) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP-10488) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2021-12-06 |