| NPI | 1578196366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH .023665) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP021504) |
| 363L00000X Nurse Practitioner (Licence: PA SP021504) | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2025-06-30 |