| 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 |