| NPI | 1366745234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9460383) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA 11322-NP) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2023-11-28 |