| NPI | 1548506595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 14125NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN369570) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2017-03-16 |