| NPI | 1851661391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71004517A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN347502) |
| 163W00000X Registered Nurse (Licence: IN 28210781A) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 127997NP) | |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2022-08-30 |