| NPI | 1891960829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA05941NP) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH RN185406) |
| 363L00000X Nurse Practitioner (Licence: OH COA05941NP) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-04-29 |