| NPI | 1942421466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.11705) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OH NM-08939) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: OH COA.11705NP) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-04-27 |