NPI | 1467822726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13364) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA13364-NP) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2018-03-17 |