| NPI | 1679026918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 404289) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 0028575) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2024-09-30 |