| NPI | 1831475987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH 14310-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 306073) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2014-02-21 |