| NPI | 1861410789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0030060) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009070) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-01-28 |