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 | 2024-11-12 |