| NPI | 1720481898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.16644-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN341237-COA1) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |