| NPI | 1639134059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005672) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP 12733) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP 12733) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-10-16 |