| NPI | 1831946722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2363708) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0029993) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |