| NPI | 1760457170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRNCNP072425) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP07425) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2022-02-14 |