| NPI | 1922695790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH APRN.CNP.0028059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28263822A) |
| 163W00000X Registered Nurse (Licence: OH RN.458474) | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |