| NPI | 1760862056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.17857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.360059) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-05-22 |