| NPI | 1689060824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.16622) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.16622-NP) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-01-21 |