| NPI | 1386916740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA13112-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA13112NP) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2021-01-19 |