| NPI | 1699925669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.10129) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 10129) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2022-01-25 |