| NPI | 1508118696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.13971-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 278705-COA1) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2014-10-17 |