| NPI | 1982147393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH CNP020326) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 176B00000X Midwife (Licence: OH CNM03795) | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2025-03-06 |