| NPI | 1790741510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP-06373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.231635.COA1) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2014-07-30 |