| NPI | 1881165066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH aprn.cnp.0028557) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.446594) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-10-19 |