| NPI | 1952479099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.cnp.00920) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 179090) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-08-29 |