| NPI | 1851565261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA10050NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA10050NP) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN 315363) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-11-20 |