| NPI | 1417104209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 024344) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA RN543749) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2025-12-18 |