| NPI | 1598783805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA01695NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN230883) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-06-06 |