| NPI | 1861676611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN235122NP04710) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP-04710) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2010-03-17 |