| NPI | 1518204973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 14132NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN342596) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2014-09-15 |