| NPI | 1962510966 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP09488)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.09488NP)  | 
| Enumeration Date | 2006-08-29 | 
| Last Update Date | 2017-10-06 |