| NPI | 1578005757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.019736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.389451) |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2020-02-07 |