| NPI | 1669863148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 16957NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 389194RN) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2022-03-01 |