| NPI | 1609050186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA 17211 NP) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: ND R39461) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 110910) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2023-08-08 |