| NPI | 1801070941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN202025, COA 03129) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP03129) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN202025NP03129) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2017-01-09 |