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 |