NPI | 1689080798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005024A) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.15819-NP) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2025-07-02 |