| NPI | 1609178763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA13218NP) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OH COA.11953-NM) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2015-10-08 |