| NPI | 1952909152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.026404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.446646) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |