| NPI | 1659399004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN302973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN08809) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-03-16 |