| NPI | 1528587797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71010028A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.021719) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2021-05-14 |