| NPI | 1578994042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH APRN.CNP.15446) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: OH COA 15446-NP) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2022-04-13 |