| NPI | 1871746735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRNCNP10343) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.10343) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-09-09 |