| NPI | 1780965897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 10796-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 10796-NP) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2019-01-09 |