| NPI | 1679919682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.16945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 77927) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2020-08-27 |