NPI | 1831533280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14062) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.14062-NP) |
Enumeration Date | 2013-04-28 |
Last Update Date | 2018-07-26 |