| NPI | 1962697938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 09622) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH RN228160) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28129783A) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2010-10-05 |