| NPI | 1588193171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH APRN.CNP.020940) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 415749) |
| 363LF0000X Nurse Practitioner Family (Licence: OH 020940) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-09-09 |